Cardiology MCQ for NEET PG & FMGE

A 52-year-old male with a 2-year history of angina pectoris presents with 1 hour of unrelieved angina despite nitroglycerin. Electrocardiogram (ECG) shows pathological Q waves with ST-segment elevation in leads V1-V4, leading to a diagnosis of acute myocardial infarction (AMI). The underlying mechanism is:

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